Ua kuhikuhi anei kāu kauka iā ʻoe i kahi inikini i kapa ʻia ʻo Octreotide? Malia paha no ka mea he maʻi kou i kapa ʻia ʻo Acromegaly, a i ʻole no ka kaohi ʻana i nā hōʻailona e like me ka maʻi diarrhea i hoʻokumu ʻia e kekahi mau ʻano maʻi kanesa. ʻOiai ke kumu, he mea maʻamau ka hoihoi iki, a malia paha he makaʻu iki, e pili ana i kahi lāʻau lapaʻau hou. No laila i kēia lā, e kūkākūkā kākou i nā mea āpau e pili ana i kēia inikini Octreotide ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha pili.
He aha maoli kēia ʻano hoʻokomo Octreotide?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau synthetic ka octreotide e hana ana e like me ka hormone i kapa ʻia ʻo somatostatin, aia maoli i loko o ko kākou kino. Hoʻohana ʻia ia no ʻelua mau kumu nui.
1. No ke kāohi ʻana i ke kūlana o ka Acromegaly: E noʻonoʻo, he hormone ko ko kākou kino e kōkua iā kākou e ulu a kiʻekiʻe aʻe, i kapa ʻia ʻo Growth Hormone. ʻO ka maʻamau, ke lilo kākou i poʻe mākua, ua kāohi nui ʻia ka hana ʻana o kēia hormone. Akā no kekahi poʻe, ua hoʻokuʻu nui ʻia kēia hormone. A laila hoʻomaka nā iwi o nā lima, nā wāwae, a me ke alo e ulu pono ʻole. ʻO ia ke kūlana i kapa ʻia ʻo Acromegaly. Hoʻomalu kēia inikini octreotide i ka hana nui ʻana o ka hormone ulu.
2. No ke kāohi ʻana i nā hōʻailona i hoʻokumu ʻia e kekahi mau maʻi kanesa: Hoʻokuʻu kekahi mau ʻano maʻi kanesa (ʻoi aku hoʻi nā Neuroendocrine Tumors) i nā hormones like ʻole i loko o ke kino. Hiki i kēia ke hana i nā mea e like me ka flushing a me ka maʻi diarrhea wai nui. Kōkua kēia lāʻau pale i ka kāohi ʻana i ka hoʻokuʻu ʻia ʻana o kēlā mau hormones a hōʻemi i kēlā mau hōʻailona hoʻonāukiuki.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. He mea nui kēia ʻike e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe. E hōʻoia e haʻi i kēia mau mea:
- Inā loaʻa iā ʻoe ka maʻi diabetes (he mea nui loa kēia no ka mea e hoʻopilikia kēia lāʻau lapaʻau i nā pae kō koko)
- Inā loaʻa iā ʻoe ka maʻi gallbladder , ʻo ia hoʻi ke ʻano o kahi kūlana e like me nā gallstones.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā he pilikia me ka ʻōpū thyroid (maʻi thyroid) .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau octreotide, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana i kāu keiki.
No kou palekana ponoʻī ke kamaʻilio me ke kauka me ka hūnā ʻole i kēia ʻike.
Pehea e hoʻohana ʻia ai kēia lāʻau pale?
ʻAʻole kēia he pana hiki iā ʻoe ke hāʻawi iā ʻoe iho ma ka home. He inikini ia i hāʻawi ʻia i loko o kahi ʻiʻo , maʻamau ma nā puʻupuʻu. No laila, hāʻawi mau ʻia iā ʻoe e ke kauka a i ʻole kahi kahu maʻi i aʻo ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau. Loaʻa pinepine iā ʻoe kēia pana i kēlā me kēia 4 pule.
He aha inā e hala iaʻu kahi mahele o ka lāʻau pale?
He mea nui loa ka loaʻa ʻana o kēia lāʻau pale i ka manawa kūpono no ka holomua o kāu lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke loaʻa ka lāʻau pale i ka manawa kūpono, mai hopohopo a kāhea koke aku i kāu kauka. E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
He lawelawe ʻoihana kēia no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Pono ʻoe e makaʻala iki aku i kou kino i ka wā e lawe ana i kēia lāʻau.
E makaʻala i kou pae kō koko.
ʻO kēia ka mea nui loa. Hiki i ka Octreotide ke hoʻohaʻahaʻa a piʻi paha i kou pae kō koko.
- Nā hōʻailona o ke kō koko haʻahaʻa: Hou anu, pōloli nui, puʻuwai wikiwiki, poniuniu, haʻalulu, luhi nui, huhū, ʻike pohihihi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻai koke i kahi mea ʻono (kō, toffee) a kāhea aku i kāu kauka.
- Nā hōʻailona o ke kō koko kiʻekiʻe: Inā ʻoe e makewai pinepine ana, pono e mimi ma mua o ka maʻamau, pōloli loa, a i ʻole he ʻike pohihihi, he mau hōʻailona paha kēia o ke kō koko kiʻekiʻe. E haʻi koke aku i kāu kauka e pili ana i kēia.
Pae Wikamina B12
Aia kahi manawa kūpono e emi iho ai kāu pae huaora B12 inā ʻoe e hoʻomau i ka lawe ʻana i kēia lāʻau. No laila, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kāu ʻai a me nā ʻano huaora āu e lawe nei a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. E nānā kākou i kēia mau hopena ʻaoʻao, a me ka mea e hana ai inā loaʻa.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā mea e hōʻike koke aku i kāu kauka a i ʻole ka ʻOihana Hoʻopilikia (ETU) | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka, paʻakikī ke hanu. He pilikia kēia. |
| Nā loli i ka helu o ka puʻuwai | Ka wikiwiki, lohi, a i ʻole ka puʻuwai kūpono ʻole i ke ʻano maʻamau. |
| ʻEha nui o ka ʻōpū/ʻeha ʻōpū luna ʻākau | He hōʻailona paha kēia o ka pilikia o ka gallbladder a i ʻole ka pancreas. E hōʻike koke aku. |
| Nā loli koʻikoʻi i nā pae kō koko | Nā hōʻailona koʻikoʻi o ke kiʻekiʻe a haʻahaʻa paha o ke kō koko (e laʻa, ka nalowale ʻana o ka ʻike) e like me ka mea i hōʻike ʻia ma luna. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou | |
| Ka maʻi pākī | ʻŌpū. |
| Kinoea | Ke hoʻopiha nei i ka ʻōpū. |
| ʻEha poʻo a me ka poniuniu | ʻEha iki ka ʻeha a i ʻole ka poniuniu. |
| Ka luaʻi a me ka nausea | ʻO ka ʻeha ʻōpū a me ka luaʻi ʻana. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, maneʻo, a ʻeha paha ma kahi i inikini ʻia. |
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa kēia. Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe i ka wā e lawe ana i kēia lāʻau lapaʻau, aia paha he mau pilina ma waena o lākou. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei me ka hūnā ʻole i kekahi mea.
E hōʻoia e hoʻomaopopo mai iā mākou, ʻoiai inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau e like me Cisapride, Dronedarone, Pimozide
- ʻO nā lāʻau lapaʻau radioactive e like me Lutetium Lu 177 dotatate
- ʻO Bromocriptine
- ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe
- ʻO Cyclosporine
- Nā lāʻau lapaʻau maʻi diabetes (me ka insulin)
- Kuinidina
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Leka Lawe-Home
- He inikini kūikawā ʻo Octreotide i hāʻawi ʻia e mālama i nā kūlana hormonal e like me ka acromegaly a e kaohi i nā hōʻailona o kekahi mau maʻi kanesa.
- He mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- ʻOiai e lawe ana i ka lāʻau lapaʻau, e makaʻala pono i nā hōʻailona o ke kō koko haʻahaʻa (ka hou ʻana, ka haʻalulu, ka pōloli nui) a me ke kō koko kiʻekiʻe (ka makewai nui, ka mimi pinepine). Inā ʻike ʻoe i kekahi mau hōʻailona, e hoʻomaopopo koke i kāu kauka.
- Mai poina i kāu lā hoʻopili i hoʻonohonoho ʻia. Inā ʻaʻole hiki iā ʻoe ke hele no kekahi kumu, e hoʻomaopopo mua i kāu kauka.
- He lāʻau pale kēia i hāʻawi ʻia e kekahi loea lapaʻau ma ka haukapila a i ʻole ke keʻena lapaʻau, ʻaʻole ia he lāʻau lapaʻau e hoʻohana ʻia ma ka home.
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